Jury Duty Certification {SCCA-723}

STATE OF SOUTH CAROLINA COUNTY OF _________________ JUROR: _________________________________ ) ) ) ) ) ___________________________ CIVIL CASE NUMBER JURY DUTY CERTIFICATION I certify that the above named juror was summoned and did appear for jury service; and is therefore entitled to the following: $ ___________ for compensation $ ___________ for service as a juror in the actions named below: __________________________ vs. ___________________________ __________________________ vs. ___________________________ In a total amount of $ ____________. Dated: MAGISTRATE SCCA/723 (Amended 05/2008) American LegalNet, Inc. www.FormsWorkflow.com